2026-04-19T20:37:40Zhttps://recercat.cat/oai/requestoai:recercat.cat:2445/2228432025-11-19T22:33:25Zcom_2072_1057col_2072_478916col_2072_478917
RECERCAT
author
Huerta, Anna
author
García Guix, Marta
author
Villanueva, Càndid
2025-11-19T22:33:25Z
2025-11-19T22:33:25Z
2025-08-29T11:38:22Z2025-08-29T11:38:22Z2025-07-262025-08-26T11:21:06Z
http://hdl.handle.net/2445/222843
Purpose of reviewWe aimed to review the role of TIPS in acute variceal bleeding (AVB), focusing on preemptive-TIPS (p-TIPS) as discrepant data suggest room for refinement.Recent findingsSalvage-TIPS can effectively control ongoing AVB despite first-line therapy, but mortality is high. Placing a p-TIPS to prevent failure in high-risk patients may improve survival. This is related to its effect decreasing the overall risk of a further decompensation (FD), not just rebleeding but also ascites and derived complications.SummaryFD is closely related to death risk after AVB. The risk of FD and death concentrates in patients presenting with ascites +/- HE in addition to AVB. p-TIPS improve survival, not only by decreasing rebleeding risk, but mainly FD overall. This review suggests potential improvements to optimize p-TIPS, such as improving risk stratification, restricting the indication to patients with AVB and ascites +/- HE, or selectively identifying those at high-risk of failure (10%-15% cases) for an early placement. Research on these issues is warranted.
cc by (c) Huerta, Anna et al, 2025 info:eu-repo/semantics/openAccess
Varices
Hemorràgia
Varicose veins
Hemorrhage
Role of Tips in Acute Variceal Bleeding
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion